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At least 793 records · Page 44Linked to original sources
PubMed2003

Irradiated homologous costal cartilage: versatile grafting material for rhinoplasty.

For most surgeons, nasal septal cartilage is the first choice in septoplasty. However, when this source is depleted, an alloplastic implant material might be preferable over other autogenous donor sites in order to avoid additional scars, morbidity, and lengthened operating time. In the alloplastic spectrum, irradiated costal cartilage (ICC) has certain advantages. Herein, we present our results with ICC in a wide range of septorhinoplasties to show its versatility and reliability. Sixty-five patients were included in the study. There were 42 male and 23 female patients. According to the indications, there were four groups of patients: (I) secondary septorhinoplasty (n = 24), (II) traumatic deformity (n = 21), (III) primary septorhinoplasty (n = 13), (IV) deformity due to previous septal surgery (n = 7). The mean follow-up period was 33 months. No significant resorption was detected in any of the patients. Minor complications developed in four cases (6%), including deformity in the dorsal graft, excessive graft length, and erythematous nasal tips. Aesthetic and functional results were satisfactory in the remaining cases. The low incidence of major complications and the versatility of ICC make it a safe and reliable source of cartilage graft for both primary and secondary septorhinoplasties when autogenous septal cartilage is either insufficient or unsuitable.

Adult↗
PubMedDate not supplied

Cantilever rib grafting in salvage rhinoplasty.

Loss of nasal skeletal support, whether congenital, following trauma or secondary to multiple failed surgeries, calls for reconstruction aiming at restoring rigid dorsal stability, maintaining tip projection, and restoring respiratory function. Where septal and conchal grafts are inadequate to be used as building blocks, our procedure of choice has been the cantilever osseocartilagenous rib graft with microscrew fixation. In the past 10 years, 48 patients were candidates for this salvage procedure. Long-term functional and cosmetic results have been highly satisfactory.

Adolescent↗
PubMedDate not supplied

Use of septal cartilage homografts in rhinoplasty.

We present a case report demonstrating the long-term survival of homologous cartilage grafts in the nose. There are no histological changes in homografts compared with autologous cartilage. The importance of an adequate technique of preservation as well as the possibility of viral transmission, are discussed. In our opinion, septal cartilage is the best reason for nasal repair, before auricular or costal cartilages. We consider the use of homologous septal cartilage a useful technique basically indicated when a cartilage graft is considered necessary, but there is insufficient autologous cartilage available.

Adult↗
PubMedDate not supplied

Our "idèes fixes" in rhinoplasty: the naso-frontal angle and the alar lateral crus.

An examination of the naso-frontal angle shows that a cranial or caudal shift in position affects the dorsum length. The fundamental aspect characterizing the naso-frontal angle is its width: it may be normal, too wide, or too narrow. It's easier to modify a too-narrow angle than a too-wide one. We show surgical techniques, emphasizing their method applied to the over-wide angle. The second "idèe fixe" is the morphology of the alar lateral crus. Every variety of this structure has a peculiar property of shape and relationship with other elements that predetermines the therapeutic action. Diagrams and photographs are shown to describe the surgical techniques and the clinical results. There is also a demonstration of the method for alar lateral crus resection, which we call "the long keel shape," since it resembles the shape of a sailboat keel.

Esthetics↗
PubMedDate not supplied

Augmentative rhinoplasty with an "auricular gibbus".

The philosophy of this work is to revise an interesting way to compensate a lack of nasal volume. Autologous auricular cartilage is used to augment a hollow dorsum. In this way, we treat depressed, asymmetrical, and irregular dorsa. We have 10 years' experience with this technique, in a total of nearly 350 cases. Among these cases are traumatic, secondary, and congenital noses. Prior to using this technique, we employed nasal septum, iliac crest bone or calotte, rib, dermis, fascia, etc. But actually, the "neogibbus" provided by the upper fossette of the concha of the auricle is enough, except for cases of exceptional volume needs. The ear does not suffer any damage when it is treated appropriately, and a uni- or bilateral graft can be taken, if necessary, to create a strong gibbus in the manner of a "sarcophagus" or of "Russian dolls."

Adult↗
PubMedDate not supplied

Increasing the length of the middle crura for better tip projection in primary rhinoplasty.

Cartilage grafts have been a very popular method for achieving tip projection in difficult noses. Sometimes asymmetries and graft visibility are undesirable complications. Remodeling the alar cartilages, using a cartilage flap from the lateral crura, rotated over the original domes, is another alternative for achieving tip refinement and projection. The surgical technique is described and clinical results are presented.

Adolescent↗
PubMedDate not supplied

Augmentation rhinoplasty using an L-shaped auricular cartilage framework combined with dermal fat graft for cleft lip nose.

We prepared an L-shaped framework using autogenous auricular cartilage and combined this with dermal fat, according to each patient, to graft it in 12 patients with cleft lip nose. Although auricular cartilage is weak on its own, by our method we obtained a strong columella strut and nasal dorsum augmentation at the same time. Dermal fat graft provided camouflage for cartilage irregularities and was useful for increasing the graft volume. Although absorption caused a decreased volume to a certain extent, there were no other complications such as cyst formation, and a natural nasal contour was achieved in all patients.

Adolescent↗
PubMed1980

Total rhinoplasty or prosthesis?

This article outlines the basic anatomy of the nose as it relates to a pleasing facial appearance and discusses the problems involved in the reconstruction and rehabilitation of the patient sustaining total rhinectomy.

Esthetics↗